Individual
BRIAN RECKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
240 FOREST HILLS DR, MARQUETTE, MI 49855-9619
(906) 869-2018
Mailing address
240 FOREST HILLS DR, MARQUETTE, MI 49855-9619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704326811
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704326811
MI
Other
Enumeration date
07/11/2021
Last updated
11/10/2022
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